Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Vincent Conneally

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104432871

Kyle Vincent Conneally is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1003 S Beacon St
San Pedro, CA 90731-4324
Phone: (310) 514-4940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104432871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address1003 S Beacon St, San Pedro, CA 90731-4324

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